healthcarefacts

Nursing home in Alamo, Texas

The Heights of Alamo

Medicare and Medicaid

1214 S. ALAMO ROAD, Alamo, TX 78516
(956) 715-8600

CMS star ratings

CMS gives this nursing home an overall star rating of 5 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.

Overall rating

  • This nursing home5
  • Texas average2.7 (1,165 rated)
  • U.S. average3.0 (14,565 rated)

Health inspections

  • This nursing home4
  • Texas average2.8 (1,165 rated)
  • U.S. average2.8 (14,565 rated)

Staffing

  • This nursing home2
  • Texas average1.9 (1,163 rated)
  • U.S. average2.9 (14,494 rated)

Quality measures

  • This nursing home5
  • Texas average3.7 (1,162 rated)
  • U.S. average3.6 (14,495 rated)

Health inspections

Most recent standard health inspection (rating cycle 1): Jun 5, 2025. CMS counts 9 health deficiencies in rating cycle 1.

  • This nursing home9
  • Texas average9.4 (1,171 with data)
  • U.S. average9.2 (14,652 with data)

Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.

Deficiencies since Sep 30, 2023

Inspectors cited 12 health deficiencies on 3 inspection dates since Sep 30, 2023. By level of harm: 1 actual harm, 11 potential for harm.

  • 0 Immediate jeopardy to resident health or safety
  • 1 Actual harm
  • 11 No actual harm, potential for more than minimal harm
  • 0 No actual harm, potential for minimal harm
The 10 most recent of 12 health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
Nov 13, 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Nov 14, 2025
Nov 13, 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Nov 14, 2025
Jun 5, 2025F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Resident Rights DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has plan of correction Jun 9, 2025
Jun 5, 2025F0641Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has plan of correction Jun 9, 2025
Jun 5, 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has plan of correction Jun 9, 2025
Jun 5, 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has plan of correction Jun 9, 2025
Jun 5, 2025F0695Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has plan of correction Jun 9, 2025
Jun 5, 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has plan of correction Jun 9, 2025
Jun 5, 2025F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has plan of correction Jun 9, 2025
May 5, 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care DeficienciesG Actual harm, isolatedComplaintDeficient, Provider has date of correction May 6, 2025
Show the other 2 deficiencies
Older health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
May 5, 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.Freedom from Abuse, Neglect, and Exploitation DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction May 6, 2025
May 5, 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction May 6, 2025

Staffing

Total nurse staffing

Reported hours per resident per day.

  • This nursing home3.18 hours
  • Texas average3.39 hours (1,148 with data)
  • U.S. average3.86 hours (14,351 with data)

Registered nurse staffing

Reported hours per resident per day.

  • This nursing home0.30 hours
  • Texas average0.43 hours (1,148 with data)
  • U.S. average0.69 hours (14,351 with data)

Nursing staff turnover

Share of nursing staff who left during the year, as reported to CMS.

  • This nursing home38.9%
  • Texas average55.3% (1,051 with data)
  • U.S. average45.8% (13,538 with data)

Penalties

CMS lists 1 penalty for this nursing home: 1 fine totaling $8,414, and 0 payment denials. CMS counts penalties from the last 3 years.

Facility details

Certified beds130
Average residents per day112.6
OwnershipFor profit - Corporation
Provider typeMedicare and Medicaid
Inside a hospitalNo
Continuing care retirement communityNo
Resident and family councilNone
Automatic sprinklers in all required areasYes
ChainTouchstone Communities (25 facilities)
Legal business nameUVALDE COUNTY HOSPITAL AUTHORITY
First approved for Medicare and MedicaidApr 5, 2018
CountyHidalgo
CMS certification number676441